Mata, Leyla Amanda

Mata, Leyla Amanda is an individual health care provider with primary practice located at 520 Main St Ste 204 , Fort Lee NJ 07024-4501. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mata, Leyla Amanda can be contacted via phone (201) 397-5662.

Contact Information

Primary practice address
520 Main St Ste 204 Fort Lee NJ 07024-4501
Phone: (201) 397-5662
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00413800 New Jersey

Profile Details

NPI number 1366730970
LBN Legal business name Mata, Leyla Amanda
Credentials M.A., ED.M, L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2011
Last updated Jul 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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